| NPI | 1730022427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MOORE Owner 216-780-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |